ADVANCED DERMATOLOGY SKIN CANCER & LASER SURGERY CENTER P.C.
NPI 1306448220
Dermatology in Evergreen, CO

Active since November 16, 2020
30960 STAGECOACH BLVD, STE W140, EVERGREEN, CO 80439(303) 670-7065(303) 670-7067 Get Directions Write a Review

NPPES record last updated: November 16, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Advanced Dermatology Skin Cancer & Laser Surgery Center P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED DERMATOLOGY SKIN CANCER & LASER SURGERY CENTER P.C. (NPI 1306448220) is a healthcare organization registered as a dermatology in Evergreen, Colorado and active in the NPI registry since November 2020. The organization lists Gregory G Papadeas, Doctor Of Osteopathic Medicine, as its authorized official.

NPPES Registry Identity

NPI1306448220
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameADVANCED DERMATOLOGY SKIN CANCER & LASER SURGERY CENTER P.C.
Location Address30960 STAGECOACH BLVD, STE W140Evergreen, CO 80439-7897
Mailing Address3464 S. Willow Street, Suite 194Denver, CO 80231-4531 · (303) 755-2900 · Fax (303) 755-0404
Fax(303) 670-7067
Organization SubpartNo
Authorized OfficialGregory G PapadeasDoctor Of Osteopathic Medicine · (303) 368-8611
Enumeration DateNovember 16, 2020
NPPES CertifiedNovember 16, 2020
✔ NPI 1306448220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
30960 STAGECOACH BLVD, Evergreen, CO 80439

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Dermatology Skin Cancer & Laser Surgery Center P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateColoradoEnrollment IDO20040313000244Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

20

Medicare enrollment records show 20 clinicians reassign Medicare billing to Advanced Dermatology Skin Cancer & Laser Surgery Center P.C., which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 2

Dermatology18
Micrographic Dermatologic Surgery (MDS)2

Clinicians, nearest first (20)

Micrographic Dermatologic Surgery (MDS)
NPI 1194802371
777 BANNOCK ST
Denver, CO 80204
(303) 436-6000
✔ PECOS✔ Accepts Medicare20 mi
Dermatology
NPI 1528459815
1375 E 20TH AVE
Denver, CO 80205
(303) 338-4545
✔ PECOS✔ Accepts Medicare21 mi
Dermatology
NPI 1790149763
2880 FOLSOM ST STE 200
Boulder, CO 80304
(303) 442-6647
✔ PECOS✔ Accepts Medicare26 mi
Micrographic Dermatologic Surgery (MDS)
NPI 1578600839
12645 E EUCLID DR
Centennial, CO 80111
(303) 493-1910
✔ PECOS✔ Accepts Medicare27 mi
Dermatology
NPI 1245240902
12645 E EUCLID DR
Centennial, CO 80111
(303) 493-1910
✔ PECOS✔ Accepts Medicare27 mi
Dermatology
NPI 1699092221
12645 E EUCLID DR
Centennial, CO 80111
(303) 493-1910
✔ PECOS✔ Accepts Medicare27 mi
Dermatology
NPI 1073561007
1390 S POTOMAC ST SUITE 124
Aurora, CO 80012
(303) 368-8611
✔ PECOS✔ Accepts Medicare28 mi
Dermatology
NPI 1568807238
1390 S POTOMAC ST STE 124
Aurora, CO 80012
(303) 368-8611
✔ PECOS✔ Accepts Medicare28 mi
Dermatology
NPI 1821080391
1390 S POTOMAC ST SUITE 124
Aurora, CO 80012
(303) 368-8611
✔ PECOS✔ Accepts Medicare28 mi
Dermatology
NPI 1447679766
1390 S POTOMAC ST STE 124
Aurora, CO 80012
(303) 368-8611
✔ PECOS✔ Accepts Medicare28 mi
Dermatology
NPI 1730181405
1390 S POTOMAC ST SUITE 124
Aurora, CO 80012
(303) 368-8611
✔ PECOS✔ Accepts Medicare28 mi
Dermatology
NPI 1962418673
1390 S POTOMAC ST STE 124
Aurora, CO 80012
(303) 368-8611
✔ PECOS✔ Accepts Medicare28 mi
Dermatology
NPI 1437141900
1390 S POTOMAC ST SUITE 124
Aurora, CO 80012
(303) 368-8611
✔ PECOS✔ Accepts Medicare28 mi
Dermatology
NPI 1881988913
1390 S POTOMAC ST SUITE 124
Aurora, CO 80012
(303) 368-9791
✔ PECOS✔ Accepts Medicare28 mi
Dermatology
NPI 1194967521
1390 S POTOMAC ST STE 124
Aurora, CO 80012
(303) 368-8611
✔ PECOS✔ Accepts Medicare28 mi
Dermatology
NPI 1346470143
13123 E 16TH AVE # B570
Aurora, CO 80045
(720) 777-1421
✔ PECOS✔ Accepts Medicare28 mi
Dermatology
NPI 1558676668
9399 CROWN CREST BLVD SUITE 400
Parker, CO 80138
(303) 840-1472
✔ PECOS✔ Accepts Medicare32 mi
Dermatology
NPI 1376832642
1830 BLAKE AVE
Glenwood Springs, CO 81601
(970) 945-8503
✔ PECOS✔ Accepts Medicare106 mi
Dermatology
NPI 1992758122
6000 UNIVERSITY AVE SUITE 450
West Des Moines, IA 50266
(515) 241-2000
✔ PECOS✔ Accepts Medicare622 mi
Dermatology
NPI 1730100892
248 PLEASANT ST STE 2800
Concord, NH 03301
(603) 415-6464
✔ PECOS✔ Accepts Medicare1,760 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Dermatology Skin Cancer & Laser Surgery Center P.C.'s NPI number?

The NPI number for Advanced Dermatology Skin Cancer & Laser Surgery Center P.C. is 1306448220. It was assigned to this organization in the NPPES registry on November 16, 2020.

Where is Advanced Dermatology Skin Cancer & Laser Surgery Center P.C. located?

Advanced Dermatology Skin Cancer & Laser Surgery Center P.C. is located at 30960 Stagecoach Blvd Ste W140, Evergreen, CO 80439. The listed phone number is (303) 670-7065.

What is Advanced Dermatology Skin Cancer & Laser Surgery Center P.C.'s specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Advanced Dermatology Skin Cancer & Laser Surgery Center P.C. enrolled in Medicare?

Yes. Advanced Dermatology Skin Cancer & Laser Surgery Center P.C. is registered in the Medicare PECOS enrollment system.

When is Advanced Dermatology Skin Cancer & Laser Surgery Center P.C.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Colorado, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Advanced Dermatology Skin Cancer & Laser Surgery Center P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 2 Medicare specialties reassign their Medicare billing to Advanced Dermatology Skin Cancer & Laser Surgery Center P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Dermatology (18) and Micrographic Dermatologic Surgery (MDS) (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Advanced Dermatology Skin Cancer & Laser Surgery Center P.C. was last updated on November 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.